2017-02-15T11:11:12-06:00 2016-06-30 910189318 Moss Adams LLP 101 Second Street Suite 900 San Francisco CA 94105 990 2015-07-01 030594291 899 Charleston 899C 6504333614 899 E Charleston Road Palo Alto CA 94303 Daniel Ruth TRUSTEE 6504333614 2017-02-13 1 Joua V Lo P01225144 4159561500 2017-02-13 2015 2021-01-29 14:40:06Z MOLDAW FAMILY RESIDENCES Daniel Ruth 899 E Charleston Road Palo Alto CA 94303 13941314 0 X WWW.899CHARLESTON.ORG X 2006 CA TO PROVIDE RESIDENTIAL FACILITIES DESIGNATED TO MEET THE NEEDS OF AGED PERSONS, ADDRESS THE WELL BEING OF THE RESIDENTS, AND ADOPT POLICIES TO PROTECT THEM AGAINST FINANCIAL RISKS. 10 9 135 17 0 0 2000590 128413 13315693 13785678 2556 27223 0 0 15318839 13941314 0 0 0 0 4421082 4227038 0 0 0 12545232 13117959 16966314 17344997 -1647475 -3403683 152679950 150382883 192532299 189440512 -39852349 -39057629 X See Schedule OWE SUPPORT THE HIGHEST LEVEL OF INDEPENDENCE FOR EACH INDIVIDUAL BY PROMOTING THE PURSUIT OF A HEALTHFUL LIFESTYLE AND COMMUNITY INVOLVEMENT ON OUR MULTIGENERATIONAL CAMPUS. WE SEEK TO PRESERVE JEWISH COMMUNITY VALUES AND TRADITIONS, WHILE SERVING THE DIVERSE CULTURES & BACKGROUNDS OF THE ENTIRE PENINSULA REGION IN OFFERING A COMPLETELY UNIQUE RETIREMENT OPTION-"UNRETIREMENT!" 0 0 15192922 13785678 See Schedule OCONSTRUCTION AND OPERATION OF 193 MAINTENANCE-FREE APARTMENTS, INCLUDING 170 UNITS FOR INDEPENDENT LIVING, 12 FOR ASSISTED LIVING AND 11 UNITS FOR SPECIALIZED MEMORY SUPPORT, IN BUILDINGS THROUGHOUT THE PEDESTRIAN-FRIENDLY TAUBE-KORET CAMPUS FOR JEWISH LIFE, THE FIRST AND ONLY JEWISH-SPONSORED SENIOR LIVING COMMUNITY IN THE REGION SOUTH OF SAN FRANCISCO, CALIFORNIA. THE GOAL OF THIS UNIQUE NEIGHBORHOOD DESIGN IS TO FOSTER OPPORTUNITIES FOR OLDER ADULTS TO ENGAGE WITH INDIVIDUALS OF ALL AGES AS THEY PARTICIPATE IN ACTIVITIES AND ORGANIZATIONS ON THE CAMPUS. AS A CONTINUING CARE RETIREMENT COMMUNITY, 899 CHARLESTON ALSO PROVIDES FOR RESIDENTS' FUTURE HEALTHCARE, AS NEEDED. IN ADDITION TO HAVING ACCESS TO PERSONALIZED ASSISTED LIVING SERVICES MEMORY SUPPORT RESIDENCES ON CAMPUS, RESIDENTS ARE ALSO AFFORDED PRIORITY ACCESS TO SKILLED NURSING CARE THROUGH AN AFFILIATION WITH THE HEBREW HOME FOR AGED DISABLED. DURING THE YEAR, MOLDAW FAMILY RESIDENCES PROVIDED INDEPENDENT LIVING AND MEMORY SUPPORT LIVING TO ELDERLY RESIDENTS. THERE WERE 233 RESIDENTS AT JUNE 30, 2016. 15192922 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 43 0 1 135 1 0 0 0 0 0 0 0 0 0 0 X 10 9 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X VICTOR MEINKE 4155622690 302 SILVER AVENUE SAN FRANCISCO CA 94112 Larry Marks Chair 1.00 2.00 X X 0 0 0 David Steirman Treasurer 1.00 1.00 X X 0 0 0 Joel Goldman Treasurer (THRU 10/15) 1.00 0.00 X X 0 0 0 Susan Moldaw Secretary 1.00 0.00 X X 0 0 0 JEAN BLACKBURN TRUSTEE 1.00 0.00 X 0 0 0 ELLEN BROWN TRustee 1.00 0.00 X 0 0 0 NEiL DAVIDSON Trustee 1.00 0.00 X 0 0 0 Pam Ferris Trustee 1.00 0.00 X 0 0 0 MARLENE LEVENSON Trustee 1.00 0.00 X 0 0 0 Dan Ogus Trustee 1.00 0.00 X 0 0 0 Daniel Ruth Executive Vice President 2.00 38.00 X 0 762159 231174 Victor Meinke CFO 12.00 28.00 X 0 282170 13339 Darren Trisel Executive Director (thru 9/15) 40.00 0.00 X 0 0 0 KEVIN HOGAN EXecutive Director (thru 12/15) 12.00 0.00 X 0 96938 13225 ALEXANDER BEN-ISRAEL EXecutive Director 40.00 0.00 X 0 0 0 0 1141267 257738 0 0 1 0 Pacific Retirement Services 1 W Main St 303 Medford OR 97501 Management Services 825270 1 128413 128413 Resident fees 623000 10954801 10954801 Entrance fee amort 623000 2357314 2357314 fees for service 623000 473563 473563 13785678 27223 27223 13941314 13785678 0 27223 X 94970 9497 85473 3210381 2914422 295959 31917 31557 360 602469 520262 82207 287301 261154 26147 674 111 563 40838 40838 81000 81000 1835473 707792 1127681 304835 222922 81913 1163630 1156593 7037 3577477 3513700 63777 4187640 4029816 157824 267984 267984 Food and beverages 796582 791888 4694 Amort. of Mrkt Cost 332221 332221 DUES & LICENSES & FEES 292316 240105 52211 REPAIRS & MAINTENANCE 117171 117171 120118 75727 44391 17344997 15192922 2152075 0 1669679 6777841 17022793 4714343 1089 1089 139191 116516 343905 94577 148949943 28641763 124328145 120308180 0 9232201 9175148 9138136 152679950 150382883 1316354 1504258 11606644 11609104 72252926 71375211 107356375 104951939 192532299 189440512 X -46127408 -45361307 1779579 1683198 4495480 4620480 -39852349 -39057629 152679950 150382883 X -3403683 7403 4191000 X 0 1 X 1 0 X 707678 183892 322181 2000590 128413 3342754 707678 183892 322181 2000590 128413 3342754 1497964 1844790 407201 3182 2343 2556 27223 442505 3785259 53694056 0.48740 0.80280 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6075044 125000 33901 6233945 5573737 374998 126309 6075044 4625291 275000 673446 5573737 4079770 128216 417303 4625289 3600666 427916 51188 4079770 0.00000 0.74000 0.26000 0 1 1 13118538 13118538 127674378 23498758 104175620 7086753 4678814 2407939 1070274 464191 606083 120308180 DEFERRED MARKETING COSTS 1079717 Bond Issuance Costs 1769487 Beneficial Interest in JHSLF 6234945 Inventory 19746 INTEREST RECEIVABLE 34241 9138136 Refundable Deposit 1360002 refundable entrance fees 97665385 Loan payable from JHSLF 4507899 Due to JSLG 6062 FSO Liability 1412591 104951939 X 18267611 7403 4318894 4326297 13941314 0 13941314 17472891 127894 127894 17344997 0 17344997 Part V, Line 4: THE INTENDED USE OF THE ENDOWMENT FUND IS TO PROVIDE SUPPORT FOR RESIDENTS OF THE 899 CHARLESTON PROJECT OR ACCEPTED APPLICANTS WHO CANNOT AFFORD A PORTION OF EITHER THE ENTRY FEE OR THE CONTINUING MONTHLY COSTS AND INCLUDES ACCUMULATED EARNINGS THEREON THAT HAVE NOT YET BEEN EXPENDED. AS REQUIRED BY ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA, NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS. Part X, Line 2: U.S. GAAP requires the Organization to evaluate tax positions taken by the Organization and recognize a tax liability if the Organization has taken an uncertain position that more likely than not would not be sustained upon examination by the applicable tax authority. The Organization has reviewed its tax positions for all open tax years and believes that it has appropriate support for the tax positions taken. Therefore, no liability has been recorded. Part XI, Line 2d - Other Adjustments: Change in beneficial interest 33,901. Change in FSO Liability 4,284,995. write off uncollectible pledges -2. Part XII, Line 2d - Other Adjustments: Amortization of discount on notes payable 127,894. 0 1 0 0 0 0 0 0 0 Daniel Ruth Executive Vice President 0 627910 0 100000 0 34249 0 222076 0 9098 0 993333 0 0 Victor Meinke CFO 0 246403 0 32825 0 2942 0 7629 0 5710 0 295509 0 0 Part I, Line 4b DANIEL RUTH: CONTRIBUTION TO 457(F) PLAN $214,126.09 PART I, LINE 3: THIS ORGANIZATION RELIED ON A RELATED ORGANIZATION TO ESTABLISH THE COMPENSATION AND BENEFITS OF THE TOP MANAGEMENT OFFICIAL USING ONE OR MORE OF THE METHODS INDICATED ON LINE 3. A CALIFORNIA STATEWIDE COMMUNITY DEVELOPMENT AUTHORITY 680164610 2014-11-20 81435953 REFINANCING OF EXISTING BOND AND TERM LOAN DEBT 0 1 0 A 1028468 81435953 4449831 1448074 75517856 20192 2014 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 1 0 0 0 1 A 1 Form 990, Part VI, Section A, line 3 PACIFIC RETIREMENT SERVICES' (PRS') ROLE AS ONE OF WORKING WITH THE OWNER (DEFINED AS 899 CHARLESTON) IN MAKING MAJOR DECISIONS INCLUDING BUDGETING, HIRING/FIRING, SELECTION OF AN EXECUTIVE DIRECTOR AND MARKETING DIRECTOR, MAJOR CAPITAL DECISIONS. THE BOARD OF MOLDAW HAS ULTIMATE AUTHORITY AS TO THESE FUNCTIONS, AND PRS IS A CONSULTANT (AS THEY ARE TITLED IN THE AGREEMENT) PROVIDING RECOMMENDED ACTIONS TO THE BOARD. ONE OF THE EXECUTIVE DIRECTORS DURING THE FISCAL YEAR WAS A PRS EMPLOYEE AND MANAGED THE DAYTODAY OPERATIONS OF 899 CHARLESTON. Form 990, Part VI, Section B, line 11 A COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD OF TRUSTEES PRIOR TO FILING. MANAGEMENT OF THE ORGANIZATION REVIEWS THE COMPLETED FORM 990 AND FOLLOWS UP WITH THE TAX PREPARATION FIRM TO ANSWER ANY QUESTIONS PRIOR TO FILING. Form 990, Part VI, Section B, line 12c THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. EACH TRUSTEE AND PRINCIPLE OFFICER OF THE ORGANIZATION AND EACH MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS SIGNS A CONFLICT OF INTEREST STATEMENT AND DISCLOSURE FORM. THE BOARD OF TRUSTEES REVIEWS AND DETERMINES IF ANY CONFLICTS OF INTEREST EXIST AND TAKES THE APPROPRIATE ACTION AS OUTLINED IN THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. Form 990, Part VI, Section B, line 15 THE BOARD REVIEWED AND APPROVED THE ANNUAL COMPENSATION PACKAGE FOR THE EXECUTIVE DIRECTOR BASED ON VARIOUS FACTORS SUCH AS: COMPENSATION DATA OBTAINED FROM VARIOUS SOURCES AND NON-PROFIT RESOURCES FOR SIMILARLY SITUATED ORGANIZATION IN THE AREA. THE BOARD APPROVED THE ANNUAL BUDGET THAT INCLUDES SALARY EXPENSE. Form 990, Part VI, Section C, line 19 THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON WRITTEN OR ORAL REQUEST. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. Form 990, Part IX, line 11g Contract services and professional fees: Program service expenses 707,792. Management and general expenses 1,127,681. Fundraising expenses 0. Total expenses 1,835,473. Form 990, Part XI, line 9: Change In Beneficial Interest 33,901. Amortization of Discount on Notes Payable -127,894. Write-off of Uncollectible Pledges -2. Change in FSO Liability 4,284,995. Section VII, Compensation: Hours for Daniel Ruth and Victor Meinke may appear low due to exclusion of hours devoted to organizations in the group that don't meet the IRS definition of "related." JEWISH SENIOR LIVING GROUP 302 Silver Avenue francisco CA 94112 800291740 SEE PART VII CA 501(c)(3) 11A JEWISH HOME AND SENIOR LIVING FOUNDATION 0 JEWISH HOME AND SENIOR LIVING FOUNDATION 302 Silver Avenue francisco CA 94112 020724278 SEE PART VII CA 501(c)(3) 7 N/A 0 BAY AREA JEWISH SENIOR LIFE 302 Silver Avenue francisco CA 94112 455092344 SEE PART VII CA 501(c)(3) 11A JEWISH SENIOR LIVING GROUP 0 bay area senior health services inc 302 SILVER AVENUE SAN FRANCISCO CA 94015 454293287 MANAGEMENT CO CA N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 PART II, LINE 1, COL (B) JEWISH SENIOR LIVING GROUP PRIMARY ACTIVITY TO PROMOTE THE PROVISION OF JEWISH LIVING SERVICES, FACILITIES AND AGING SERVICES IN NORTHERN CALIFORNIA BY PROVIDING SERVICES DESIGNED TO ASSIST THE SUPPORTED CHARITIES IN THEIR OWN OPERATIONS AND ASSIST WITH DEVELOPING NEW SERVICES AND FACILITIES IN THE AFFILIATED NETWORK. PART II, LINE 2, COL (B) JEWISH HOME AND SENIOR LIVING FOUNDATION PRIMARY ACTIVITY TO PROMOTE AND SUPPORT THE PROVISION OF JEWISH AGING SERVICES, INCLUDING THE MISSION AND ACTIVITIES ASSOCIATED WITH THE JEWISH HOME OF SAN FRANCISCO AND NETWORK AFFILIATES. PART II, LINE 3, COL (B) BAY AREA JEWISH SENIOR LIFE PRIMARY ACTIVITY TO ASSIST THE SUPPORTED CHARITIES IN THEIR OWN OPERATIONS AND ASSIST WITH DEVELOPING NEW SERVICES AND FACILITIES IN THE AFFILIATED NETWORK.